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CPT code 95726: Video EEG review, more than 84 hours2026 Medicare rate & RVUs in Miami, FL

Physician or qualified health care professional review and interpretation of video EEG monitoring lasting more than 84 hours, with a documented report.

CMS RVU26DEffective Oct 1, 2026One payment locality797 Medicare services in 2024

In Miami, FL, Medicare pays $463.46 for 95726 in the office and $379.31 when it’s performed in a hospital or facility.

$463.46Office (non-facility)
$379.31Hospital or facility
+8.7%vs the national office rate ($426.53)

Check a contract rate as a % of Medicare · 95726 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95726 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 95726 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95726 covers

This service captures the physician or qualified health care professional’s review and interpretation of a prolonged EEG recording accompanied by synchronized video. It is used in extended seizure evaluations, such as monitoring in an epilepsy unit to assess suspected seizures and correlate recorded behaviors with electrical activity. The service includes interpretation and a report, rather than the equipment setup or technical monitoring work.

Choose 95726 when the video EEG monitoring duration exceeds 84 hours. The duration and presence of video distinguish it from shorter-duration codes and from 95725, which describes the corresponding service without video. Documentation should support the monitoring duration, video availability, the clinical question, the findings interpreted, and the resulting report. Report any separately coded recording or technical services based on the work performed and the applicable service codes.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Miami, FL compares for 95726

Across 109 of 109 payment localities, the office rate for 95726 runs from $395.19 in Arkansas to $554.09 in Alaska. Miami, FL pays $463.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

95726 in Miami, FL vs other payment areas
  1. Miami, FL · this page$463.46
  2. Fort Lauderdale, FL · Florida$444.72−$18.74
  3. Rest of Florida · Florida$429.86−$33.60
  4. Los Angeles, CA · California$458.23−$5.23
  5. Washington, DC area · District of Columbia$469.75+$6.29
  6. Chicago, IL · Illinois$455.02−$8.44
  7. Manhattan, NY · New York$479.31+$15.85

Other areas in Florida first, then benchmark localities. Bars start at $0.

Every other payment area

95726 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$554.09$468.00
AlabamaAlabama$398.67$327.94
ArkansasArkansas$395.19$325.76
ArizonaArizona$418.89$340.57
Bakersfield, CACalifornia$438.22$349.63
Chico, CACalifornia$436.25$347.66
El Centro, CACalifornia$436.35$347.76
Fresno, CACalifornia$436.25$347.66

95726 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$395.19

$554.09

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95726 office rate range by state
State / territoryOffice rate rangeLocalities
AK$554.091
AL$398.671
AR$395.191
AZ$418.891
CA$436.25–$512.8429
CO$434.991
CT$447.611
DC$469.751
DE$423.931
FL$429.86–$463.463
GA$413.82–$433.772
GU$439.101
HI$439.101
IA$401.411
ID$403.701
IL$424.47–$455.024
IN$405.041
KS$401.871
KY$407.811
LA$408.06–$420.212
MA$434.64–$464.452
MD$429.26–$469.753
ME$406.69–$417.752
MI$415.78–$434.912
MN$416.871
MO$404.85–$419.213
MS$399.991
MT$426.491
NC$409.021
ND$414.631
NE$402.261
NH$430.311
NJ$452.71–$468.372
NM$417.831
NV$423.341
NY$412.91–$488.885
OH$413.351
OK$405.661
OR$419.96–$442.472
PA$412.86–$441.242
PR$427.921
RI$434.231
SC$411.871
SD$413.221
TN$403.301
TX$411.31–$435.028
UT$415.291
VA$418.03–$469.752
VI$427.921
VT$415.101
WA$433.16–$470.322
WI$406.221
WV$415.081
WY$421.321

See 95726 in every payment locality

How the 95726 rate is calculated

Each of 95726’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95726

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.58

7.58 RVUs× 1.000 GPCI

Practice expense4.59

4.59 RVUs× 1.000 GPCI

Malpractice0.60

0.60 RVUs× 1.000 GPCI

Adjusted RVUs

12.7700

Conversion factor

$33.4009

Medicare rate

$426.53

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,516

Code
95726
Physician work
7.58
Practice expense
4.59
Malpractice
0.60

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 95726 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work7.58× 1.0007.5800
Practice expense4.59× 1.0414.7782
Malpractice0.60× 2.5291.5174
Total RVUs13.8756
Conversion factor× 33.4009

Office rate, Miami, FL$463.46

Office: (7.58 × 1 + 4.59 × 1.041 + 0.6 × 2.529) × $33.4009 = $463.46

Facility: (7.58 × 1 + 2.17 × 1.041 + 0.6 × 2.529) × $33.4009 = $379.31

Open 95726 in the RVU calculator

Payment rules and modifiers for 95726

95726 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 95726

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$426.53

Non-facility (office)
$426.53
Facility
$345.70

Higher because the practice carries its own overhead.

Codes related to 95726

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95726
CodeHow it relatesOffice range, Miami, FL
Same family
95725EEG interpretation, more than 84 hours, no videoCorresponding physician or QHP interpretation for more than 84 hours without video.$331.43
95724Video EEG interpretation, more than 60, under 84 hoursVideo EEG interpretation for the shorter 60-to-84-hour duration category.$362.35
95718Video EEG interpretation, 2–12 hoursVideo EEG interpretation for monitoring lasting 2 to 12 hours.$150.20
Often billed with
95700EEG setup, per episodeEquipment setup and takedown may be reported for the same video EEG monitoring episode.No office rate
95716Video EEG, continuous, 12–26 hoursTechnical continuous video EEG monitoring service may accompany the physician or QHP interpretation.No office rate

How 95726 has changed in Miami, FL

95726 · Office / nonfacility

$463.46

Effective 2026-10-01

The base rate is $37.54 higher than on 2025-10-01, moving from $425.92 to $463.46 (8.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $425.92changed to$463.46

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 3.98 changed to 4.59
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $438.65changed to$425.92

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.99 changed to 3.98

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $431.49changed to$438.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $439.94changed to$431.49

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.82 changed to 3.99
    • Malpractice RVU 0.58 changed to 0.60
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $453.20changed to$439.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.85 changed to 3.82
    • Malpractice RVU 0.60 changed to 0.58
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $455.33changed to$453.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.83 changed to 3.85
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $462.70changed to$455.33

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.69 changed to 3.83
    • Malpractice RVU 0.56 changed to 0.59
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$462.70

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$463.46$379.31RVU26D
2026-07-01$463.46$379.31RVU26C
2026-04-01$463.46$379.31RVU26B
2026-01-01$463.46$379.31RVU26A
2025-10-01$425.92$418.28RVU25D
2025-07-01$425.92$418.28RVU25C
2025-04-01$425.92$418.28RVU25B
2025-01-01$425.92$418.28RVU25A
2024-10-01$438.65$430.45RVU24D
2024-07-01$438.65$430.45RVU24C
2024-04-01$438.65$430.45RVU24B
2024-03-09$438.65$430.45RVU24AR
2024-01-01$431.49$423.42RVU24A
2023-10-01$439.94$432.30RVU23D
2023-07-01$439.94$432.30RVU23C
2023-04-01$439.94$432.30RVU23B
2023-01-01$439.94$432.30RVU23A
2022-10-01$453.20$445.41RVU22D
2022-07-01$453.20$445.41RVU22C
2022-04-01$453.20$445.41RVU22B
2022-01-01$453.20$445.41RVU22A
2021-10-01$455.33$446.76RVU21D
2021-07-01$455.33$446.76RVU21C
2021-04-01$455.33$446.76RVU21B
2021-01-01$455.33$446.76RVU21A
2020-10-01$462.70$454.18RVU20D
2020-07-01$462.70$454.18RVU20C
2020-04-01$462.70$454.18RVU20B
2020-01-01$462.70$454.18RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 95726 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

95726 billing questions

How is 95726 different from 95725?

95726 is for physician or qualified health care professional interpretation of monitoring over 84 hours with video. 95725 covers the corresponding duration without video.

When should a shorter-duration video EEG code be selected?

Select the code that matches the total monitoring duration. For example, 95724 is the video EEG interpretation code for monitoring lasting more than 60 hours through 84 hours.

Does 95726 include equipment setup or technical monitoring?

The code represents physician or qualified health care professional review, interpretation, and reporting. Setup and technical monitoring are distinct services when performed and reported.

What documentation supports reporting 95726?

Document that video accompanied the EEG, the monitoring duration exceeded 84 hours, and the physician or qualified health care professional reviewed and interpreted the recording and produced a report.

Is video indicated by a modifier?

No. Video is part of the code selection: use 95726 for the over-84-hour service with video and 95725 for the corresponding service without video.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95726PPRRVU2026_Oct_nonQPP.csv, line 12,516 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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